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다낭성난소증후군의 침 치료법에 대한 고찰

A Review of Acupuncture Treatment Methods for Polycystic Ovary Syndrome

최수지|박지하
대한한방부인과학회 (The Society Of Oriental Obstetrics & Gynecology)|2024.05|대한한방부인과학회지 (The Journal of Oriental Obstetrics ＆ Gynecology)|제37권 제2호|pp. 75-108|DOI https://doi.org/10.15204/jkobgy.2024.37.2.075

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키워드

AcupunctureClinical TrialCase ReportsPolycystic Ovary SyndromeAcupuncture Points
주제분류한의학

초록

Objectives: The purpose of this study is to review the acupuncture treatment for Polycystic ovary syndrome (PCOS) in women. Methods: We searched articles in 3 search engines with keywords related to ‘Polycystic ovary syndrome’, ‘PCOS’, and ‘Stein-leventhal’ in February 2024. Clinical researches and case reports that used acupuncture on PCOS were included. Animal studies and non clinical data were excluded. Data on acupuncture treatment such as methods, site, duration, frequency, and period were analyzed. Results: Of 60 selected articles, there were 51 randomized controlled trials, 5 clinical trials and 4 case reports. Studies were conducted using manual acupuncture, electro acupuncture, auricular acupuncture, thread embedding acupuncture, warm needling and laser acupuncture. Most studies used more than one acupoint, and there were 78 acupoints selected for acupuncture treatment for PCOS. The most commonly used acupoint was 三陰交 (SP6)(n=50). By analyzing the network of acupoints, 關元 (CV4), 氣海 (CV6), 中脘 (CV12), 三陰交 (SP6), 血海 (SP10), 天樞 (ST25), 足三里 (ST36) were located in center of the network. The mean treatment time, number of treatments, and duration were 28.63±4.48 minutes, 34.52±29.26 times, and 98.18±38.25 days. Conclusions: The results of this study could be useful in establishing the evidence for performing standardized acupuncture treatment for Polycystic ovary syndrome.

Abstract

Objectives: The purpose of this study is to review the acupuncture treatment for Polycystic ovary syndrome (PCOS) in women. Methods: We searched articles in 3 search engines with keywords related to ‘Polycystic ovary syndrome’, ‘PCOS’, and ‘Stein-leventhal’ in February 2024. Clinical researches and case reports that used acupuncture on PCOS were included. Animal studies and non clinical data were excluded. Data on acupuncture treatment such as methods, site, duration, frequency, and period were analyzed. Results: Of 60 selected articles, there were 51 randomized controlled trials, 5 clinical trials and 4 case reports. Studies were conducted using manual acupuncture, electro acupuncture, auricular acupuncture, thread embedding acupuncture, warm needling and laser acupuncture. Most studies used more than one acupoint, and there were 78 acupoints selected for acupuncture treatment for PCOS. The most commonly used acupoint was 三陰交 (SP6)(n=50). By analyzing the network of acupoints, 關元 (CV4), 氣海 (CV6), 中脘 (CV12), 三陰交 (SP6), 血海 (SP10), 天樞 (ST25), 足三里 (ST36) were located in center of the network. The mean treatment time, number of treatments, and duration were 28.63±4.48 minutes, 34.52±29.26 times, and 98.18±38.25 days. Conclusions: The results of this study could be useful in establishing the evidence for performing standardized acupuncture treatment for Polycystic ovary syndrome.

참고문헌 (75)

  1. Zehra B, "Polycystic ovarian syndrome : symptoms, treatment and diagnosis : a review", Journal of Pharmacognosy and Phytochemistry, 7(6), pp.875~880 (2018)
  2. Kim SH, "Recent Acupuncture Therapy for Polycystic Ovary Syndromes : Systematic Review", The Journal Of Oriental Gynecology, 27(2), pp.71~82 (2014)
  3. The Society of Korean Medicine Obstetrics and Gynecology, "Oriental Obstetrics & Gynecology (2nd volume)", pp.204~ (2021), Euiseongdang
  4. Cho YJ, "A review of the clinical study trends on Korean medicine treatment for polycystic ovary syndrome", The Journal of Korean Obstetrics and Gynecology, 35(2), pp.87~105 (2022)
  5. Li P, "Effects of acupuncture combined with moxibustion on reproductive and metabolic outcomes in patients with polycystic ovary syndrome : A systematic review and meta-analysis", Evidence-Based Complementary and Alternative Medicine, 2022, pp.3616036~ (2022)
  6. Lee HS, "Revised standards for reporting interventions in clinical trials of acupuncture(STRICTA) : extending the CONSORT statement", Korean Journal of Acupuncture, 27(3), pp.1~23 (2010)
  7. Stener-Victorin E, "Effects of electro-acupuncture on anovulation in women with polycystic ovary syndrome", Acta obstetricia et gynecologica Scandinavica, 79(3), pp.180~188 (2000)
  8. Xu J, "Effect of electroacupuncture combined with auricular point tapping and pressing on serum insulin and testosterone in the patients of obese women with polycystic ovary syndrome", Zhongguo Zhen jiu=Chinese Acupuncture &Moxibustion, 29(6), pp.441~443 (2009)
  9. Hong LE, "Study on effects of acupuncture on menstruation and endocrine in patients of normal body weight with polycystic ovary syndrome", World Journal of Acupuncture-Moxibustion, 24(2), pp.10~14 (2014)
  10. Farajzadeh F, "Treatment of polycystic ovarian syndrome using electroacupuncture : A case report", Int J Women's Health Reprod Sci, 5(1), pp.76~79 (2017)
  11. Shen K, "Effects on polycystic ovary syndrome of abdominal obesity treated with the dialing needling method at the abdomen", Zhongguo Zhen jiu=Chinese Acupuncture & Moxibustion, 38(12), pp.1273~1276 (2018)
  12. Alois M, "Hormonal regulation in pcos using acupuncture and herbal supplements : a case report and review of the literature", Integrative Medicine : A Clinician's Journal, 18(5), pp.36~39 (2019)
  13. Li J, "A prospective pilot study of the effect of acupuncture on insulin sensitivity in women with polycystic ovary syndrome and insulin resistance", Acupuncture in Medicine, 38(5), pp.310~318 (2020)
  14. Shi Y, "Observation on therapeutic effect of acupuncture combined with Chinese herbs on polycystic ovary syndrome of kidney deficiency and phlegm stasis type", Zhongguo Zhen jiu=Chinese Acupuncture & Moxibustion, 29(2), pp.99~102 (2009)
  15. Stener-Victorin E, "Low-frequency electroacupuncture and physical exercise decrease high muscle sympathetic nerve activity in polycystic ovary syndrome", American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 297(2), pp.R387~ (2009)
  16. Lai MH, "Effect of abdominal acupuncture therapy on the endocrine and metabolism in obesity-type polycystic ovarian syndrome patients", Zhen ci yan jiu=Acupuncture Research, 35(4), pp.298~302 (2010)
  17. Jedel E, "Impact of electroacupuncture and physical exercise on hyperandrogenism and oligo", amenorrhea in women with polycystic ovary syndrome : a randomized controlled trial, 2011, pp.300(1), E37~
  18. Pastore LM, "True and sham acupuncture produced similar frequency of ovulation and improved LH to FSH ratios in women with polycystic ovary syndrome", The Journal of Clinical Endocrinology & Metabolism, 96(10), pp.3143~3150 (2011)
  19. Wei CU, "Effect of electroacupuncture on oocyte quality and pregnancy of patients with PCOS undergoing in vitro fertilization and embryo transfer", World Journal of Acupuncture-Moxibustion, 22(1), pp.23~29 (2012)
  20. Johansson J, "Acupuncture for ovulation induction in polycystic ovary syndrome : a randomized controlled trial", American Journal of Physiology-Endocrinology and Metabolism, 304(9), pp.E934~ (2013)
  21. Li N, "Efficacy and safety evaluation of acupuncture combined with auricular point sticking therapy in the treatment of polycystic ovary syndrome", Zhongguo Zhen jiu=Chinese Acupuncture &Moxibustion, 33(11), pp.961~964 (2013)
  22. Rashidi BH, "Effects of acupuncture on the outcome of in vitro fertilisation and intracytoplasmic sperm injection in women with polycystic ovarian syndrome", Acupuncture in Medicine, 31(2), pp.151~156 (2013)
  23. Zheng YH, "Effectiveness of abdominal acupuncture for patients with obesity-type polycystic ovary syndrome : a randomized controlled trial", The journal of alternative and complementary medicine, 19(9), pp.740~745 (2013)
  24. Chen R, "Observation on therapeutic effect of polycystic ovary syndrome of damp-phlegm constitution treated with embedding therapy on back-shu points and front-mu points combined with needle-pricking therapy on Sifeng(EX-UE 10)", Zhongguo Zhen jiu=Chinese Acupuncture & Moxibustion, 34(4), pp.355~358 (2014)
  25. Jin CL, "Efficacy comparison between electroacupuncture and dyne-35in treatment of polycystic ovary syndrome", Zhongguo Zhen jiu=Chinese Acupuncture & Moxibustion, 34(12), pp.1174~1178 (2014)
  26. Jing LI, "Effect of electroacupuncture on egg quality and tumor necrosis factor-α of patients with polycystic ovarian syndrome", World Journal of Acupuncture-Moxibustion, 24(3), pp.9~15 (2014)
  27. Lim CE, "ACUPCOS : acupuncture & PCOS-a multi-centres randomised controlled trial", Int J Gynecol Obstetr Res, 2, pp.1~3 (2014)
  28. Chen M, "Clinical observation of acupuncture plus medication for obesity-type polycystic ovary syndrome", Shanghai Journal of Acupuncture and Moxibustion, 12, pp.310~313 (2015)
  29. Jiang D, "Infertility in polycystic ovary syndrome treated with acupuncture and clomiphene : a randomized controlled trial", Zhongguo Zhen jiu=Chinese Acupuncture & Moxibustion, 35(2), pp.114~118 (2015)
  30. "2015", 42(4)
  31. Li J, "Effect of electro-acupuncture on the spindle and oocytes quality in patients with PCOS", Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi Jiehe Zazhi=Chinese Journal of Integrated Traditional and Western Medicine, 35(3), pp.304~309 (2015)
  32. Li S, "Metformin and auxiliary acupuncture in the treatment of obese women infertility with polycystic ovary syndrome for 75 cases", Chin Med Modern Distance Educ China, 13(06), pp.78~79 (2015)
  33. Yang BZ, "Effects of electroacupuncture intervention on changes of quality of ovum and pregnancy out-come in patients with polycystic ovarian syndrome", Zhen ci yan jiu=Acupuncture Research, 40(2), pp.151~156 (2015)
  34. El-Bandrawy AM, "Effect of laser puncture combined with a diet-exercise intervention on obese polycystic ovarian females", Int J Pharmtech Res, 9, pp.60~65 (2016)
  35. Hong M, "Pcos-induced anxiety disorder treated mainly with acupuncture therapy: A randomized controlled trial", Acta Med. Mediterranea, 32, pp.1155~1158 (2016)
  36. Janson X, "Clinical observation of electro-acupuncture and acupoint catgut-embedding therapy in the treatment of obese polycystic ovary syndrome", Guangming Journal of Chinese Medicine, 31(4), pp.538~541 (2016)
  37. Jin C, "Impacts on physical and mental health of patients with polycystic ovary syndrome treated with electroacupuncture : a randomized controlled trial", Zhongguo Zhen Jiu=Chinese Acupuncture & Moxibustion, 36(6), pp.591~595 (2016)
  38. Ma H, "Flying needling therapy combined with clomiphene for ovulation failure in polycystic ovary syndrome : a randomized controlled trial", Zhongguo Zhen jiu=Chinese Acupuncture &Moxibustion, 36(11), pp.1161~1165 (2016)
  39. Qin W, "Effect of acupoint catgut embedding therapy combined with Chinese medicine for nourishing the kidneys and promoting blood circulation and improving blood glucose and lipid levels as well as the pregnancy rate in obese PCOS patients with infertility", Experimental and therapeutic medicine, 12(5), pp.2909~2914 (2016)
  40. Zhang J F, "Effect of acupoint catgut embedding therapy on blood glucose and insulin related index of patients with polycystic ovary syndrome", Guangming journal of chinese medicine, 31(6), pp.831~833 (2016)
  41. Zhong J Y, "Electroacupuncture combined with Diane-35 in the treatment of polycystic ovary syndrome for 30cases", Guangming journal of chinese medicine, 31(8), pp.1139~1141 (2016)
  42. Zhuo Y, "The"regulating conception-governor vessel"acupuncture method for infertility of polycystic ovarian syndrome", Zhongguo Zhen jiu=Chinese Acupuncture & Moxibustion, 36(12), pp.1237~1241 (2016)
  43. Cao Y, "DONG's extraordinary acupoints for the ovarian function of polycystic ovary syndrome : a randomized controlled pilot trial", Zhongguo zhen jiu=Chinese acupuncture & moxibustion, 37(7), pp.710~714 (2017)
  44. Yang J, "Acupuncture and Chinese medicine of artificial cycle therapy for insulin resistance of polycystic ovary syndrome with phlegm damp type and its mechanism", Zhongguo zhen jiu=Chinese acupuncture &moxibustion, 37(11), pp.1163~1168 (2017)
  45. Yang D, "Effect of polycystic ovary syndrome treated with the periodic therapy of acupuncture", Zhongguo Zhen jiu=Chinese Acupuncture & Moxibustion, 37(8), pp.825~829 (2017)
  46. El-Shamy FF, "Effectiveness of laser acupoints on women with polycystic ovarian syndrome : a randomized controlled trial", Journal of lasers in medical sciences, 9(2), pp.113~120 (2018)
  47. Shen LY, "Acupuncture treatment of polycystic ovarian syndrome patients with abdominal obesity by regulating dai meridian : a randomized controlled clinical trial", Zhen ci yan jiu=Acupuncture research, 43(4), pp.255~259 (2018)
  48. Xu J, "Efficacy of acupuncture as adjunctive treatment on infertility patients with polycystic ovary syndrome", Zhongguo zhen jiu=Chinese acupuncture & moxibustion, 38(4), pp.358~361 (2018)
  49. Yin Y, "Clinical therapeutic effects of acupuncture combined with Chinese herbal medicine on infertility of polycystic ovary syndrome in the patients with ovulation induction with letrozole", Zhongguo zhen jiu=Chinese acupuncture & moxibustion, 38(1), pp.27~32 (2018)
  50. Yu L, "Therapeutic effects on ovulation and reproduction promotion with acupuncture and clomiphene in polycystic ovary syndrome", Zhongguo zhen jiu=Chinese acupuncture &moxibustion, 38(3), pp.263~268 (2018)
  51. Altutunji AZ, "The effect of acupuncture on anti-mullerian hormone and assisted reproduction outcome in Polycystic Ovary Syndrome patients undergoing in vitro fertilization", J Pak Med Assoc, 69(8), pp.S4~ (2019)
  52. Budihastuti UR, "Electroacupuncture effect on polycystic ovary syndrome to improve oocytes' growth", Medical acupuncture, 31(6), pp.379~383 (2019)
  53. Cao Y, "The efficacy of Tung’s acupuncture for sex hormones in polycystic ovary syndrome : A randomized controlled trial", Complementary Therapies in Medicine, 44, pp.182~188 (2019)
  54. Khaki I, "Evaluation the effect of auriculotherapy on the clinical signs of single girls with polycystic ovary syndrome : A single-blinded clinical trial", Clinical Cancer Investigation Journal, 8(5), pp.186~191 (2019)
  55. Rouhani M, "Efficacy of a Persian herbal remedy and electroacupuncture on metabolic profiles and anthropometric parameters in women with polycystic ovary syndrome : A randomized controlled trial", Galen medical journal, 8, pp.e1389~ (2019)
  56. Huang XT, "Acupuncture combined with Chinese and western medicine in the treatment of polycystic ovary syndrome", Clinical and Experimental Obstetrics and Gynecology, 47(3), pp.396~400 (2020)
  57. Yang J, "Effect of combined treatment with acupuncture, moxibustion and medication on endometrial receptivity and expression of serum HOXA10in polycystic ovary syndrome of kidney deficiency and blood stagnation", Zhongguo Zhen jiu=Chinese Acupuncture & Moxibustion, 40(11), pp.1154~1158 (2020)
  58. Yu LQ, "Efficacy and mechanism of electroacupuncture on insulin resistant polycystic ovary syndrome", Zhongguo Zhen jiu=Chinese Acupuncture &Moxibustion, 40(4), pp.379~383 (2020)
  59. Zhang HL, "Acupuncture ameliorates negative emotion in PCOS patients : a randomized controlled trial", Zhongguo Zhen jiu=Chinese Acupuncture &Moxibustion, 40(4), pp.385~390 (2020)
  60. Budihastuti UR, "Electroacupuncture to improve endometrial receptivity and folliculogenesis in polycystic ovary syndrome", Medical Acupuncture, 33(6), pp.428~434 (2021)
  61. Dong H, "Effect of low-frequency electro-acupuncture in unmarried women with polycystic ovary syndrome : A randomized controlled study", Altern Ther Health Med, 28(4), pp.24~33 (2022)
  62. Muharam R, "Combination of electroacupuncture and pharmacological treatment improves insulin resistance in women with polycystic ovary syndrome : Double-blind randomized clinical trial", International Journal of Reproductive BioMedicine, 20(4), pp.289~298 (2022)
  63. Pan W, "A randomized shamcontrolled trial of manual acupuncture for infertile women with polycystic ovary syndrome", Integrative Medicine Research, 11(2), pp.100830~ (2022)
  64. Qiu-Ping LI, "Effect of electroacupuncture combined with ginger-isolated moxibustion on endometrial receptivity in infertile patients with polycystic ovarian syndrome", World Journal of Acupuncture-Moxibustion, 32(1), pp.15~20 (2022)
  65. Wu JM, "Effects of acupuncture on endometrium and pregnancy outcomes in patients with polycystic ovarian syndrome undergoing in vitro fertilization-embryo transfer : a randomized clinical trial", Chinese Journal of Integrative Medicine, 28(8), pp.736~742 (2022)
  66. Yang N, "Serum metabolomics probes the molecular mechanism of action of acupuncture on metabolic pathways related to glucose metabolism in patients with polycystic ovary syndrome-related obesity", Biomedical Chromatography, 37(10), pp.e5710~ (2023)
  67. "Health Insurance Review & Assessment Service"[URL]
  68. Frye CA, "An overview of oral contraceptives : mechanism of action and clinical use", Neurology, 66(suppl3), pp.S29~ (2006)
  69. Yiming MU, "Chinese experts consensus statement on Metformin in the clinical practice : 2016 updated", Chinese Journal of Diabetes, 24(10), pp.871~884 (2016)
  70. Brinton LA, "Ovulation induction and cancer risk", Fertility and sterility, 83(2), pp.261~274 (2005)
  71. Krysiak R, "Update on the management of polycystic ovary syndrome", Pharmacological Reports, 58(5), pp.614~625 (2006)
  72. Ramanathan G, "Effects of Acupuncture Treatment on Polycystic Ovary Syndrome(PCOS)" (2023), IntechOpen
  73. Park SK, "Study on the Acupoint Location of Sameumgyo(SP6)-Regarding the Theory of 8 Cun above the Tip of the Medial Malleoulus", Korean Journal of Acupuncture, 37(2), pp.122~129 (2020)
  74. Bak, Seonghyeon, "Publication trends in ST36 electroacupucnture researches in Korean journals", Korean Journal of Acupuncture, 39(4), pp.126~131 (2022)
  75. Zheng YH, "Effectiveness of abdominal acupuncture for patients with obesity-type polycystic ovary syndrome : a randomized controlled trial", The journal of alternative and complementary medicine, 19(9), pp.740~745 (2013)

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